Individuals KYC Form

 

[A] IDENTITY DETAILS

1 ) Name of the applicant

2) Father’s/ Spouse Name

3) Gender

Marital status

Date of birth

4) Nationality

Nationality Status

5) Pan Number

6)Unique Identification Number
(UID)/ Aadhaar, if any

7) Specify the proof of Identity submitted

[B] ADDRESS DETAILS

1) Address for correspondence

City/town/village

Pin Code

State

Country

2) Contact Details

Tel. (Off.)

Tel. (Res.)

Mobile Number

Fax Number

Email id

3) Specify the proof of address
submitted for correspondence address

4) Permanent Address (if different
from above or overseas address, mandatory for
Non-Resident Applicant)

City/town/village

Pin Code

State

Country

5) Specify the proof of address
submitted for permanent address

[C] OTHER DETAILS

1) Gross Annual Income Details (please specify)
Income Range per annum

Or
Net-worth as on (date)

(Net worth should not be older than 1 year)

2) Occupation (please tick any one and give brief details)

Please Select, if applicable

Any other information

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I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.